Vascular Trauma

Szaniewski, Krzysztof; Byrczek, Tomasz; Sikora, Tomasz

doi:10.5772/intechopen.88285

Cited by 6 publications

(17 citation statements)

References 39 publications

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“…Оптимальным пластическим материалом для восстановления целостности магистральных сосудов, особенно при исходной микробной обсемененности раны и в молодом возрасте, является аутовена. Описано использование в качестве аутотрансплантата большой и малой подкожных вен нижних конечностей, а также головной и основной вен верхних конечностей [1,4,7]. Сосудистые протезы возможно применять при повреждении аорты или при отсутствии аутовены нужного диаметра в случаях ранения других сосудов.…”

Section: рис 1 рана с продолжающимся венозным кровотечениемunclassified

“…Частота открытых травматических повреждений сосудов, по данным литературы, варьирует в диапазоне от 2,0 до 25,5% [1,2,3,4]. По мнению R.W.…”

Section: Introductionunclassified

“…Quan с соавторами, в 95% случаев они происходят в результате ранений [5]. К. Szaniewski с соавторами отмечают увеличение частоты повреждения магистральных сосудов вследствие воздействия огнестрельного оружия, колюще-режущих предметов, дорожно-транспортных происшествий [4]. Особое место в структуре причин травмы отводится повреждениям, возникшим в результате несчастных случаев на производстве.…”

Section: Introductionunclassified

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Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report

Chernyadiev

Leshchinskaya

Bochegov³

2022

Traumatology and Orthopedics of Russia

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Background. Injury to the main vessels is often accompanied by life-threatening bleeding, permanent disability or death. In the modern literature, only isolated cases of reconstructive surgery for major vein injury are described, their long-term results are insufficiently studied, there is little information about the introduction of telemedicine technologies into the practice of emergency angiosurgical care. The aim of the study is to demonstrate the immediate and long-term results of the joint work of trauma surgeons and angiosurgeons in helping a patient with injury to the main femoral vessels. Case presentation. The results of treatment of the patient with the diagnosis: laceration of the upper third of the right thigh with rupture of the common femoral vein and superficial femoral artery and the development of threatening ischemia of the right lower limb; severe blood loss; hemorrhagic shock IV; severity of injury: VPH SP 33; MESS 7. Treatment of the patient took place in several stages. At the first of them, hemostasis was performed, the hemorrhagic shock was resolved. Further, the patient was consulted by an angiosurgeon through telecommunication technologies, after which it was decided to include an angiosurgeon in the surgical team. The prosthetics of femoral vessels was performed: the main venous and arterial blood flow was restored in the affected limb. The patient was discharged in a satisfactory condition with no signs of thrombosis. Conclusions. Compliance with consistent actions in helping a patient with a vascular injury prevents the development of a deadly triad and a fatal outcome. The use of telemedicine consultations provides the angiosurgeon with the opportunity to remotely assess the clinical picture, the severity of the injury, discuss the sequence and volume of necessary medical care at the place of primary hospitalization. Performing reconstructive surgeries using various types of grafts allows you to restore the main blood flow through damaged vessels with good immediate and long-term results.

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Section: рис 1 рана с продолжающимся венозным кровотечениемunclassified

Section: Introductionunclassified

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Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report

Chernyadiev

Leshchinskaya

Bochegov³

2022

Traumatology and Orthopedics of Russia

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“…Mortality is associated more with penetrating injury and limb loss more with blunt injury. 4 , 5 Different surgical interventions according to the type of injuries are anastomosis, lateral repair, reverse saphenous vein graft, or ligation if repair is not possible. 6 …”

Section: Introductionmentioning

confidence: 99%

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Free Full Text Articles are Available at www.jnma.com.np Mortality is associated more with penetrating injury and limb loss more with blunt injury. 4,5 Different surgical interventions according to the type of injuries are anastomosis, lateral repair, reverse saphenous vein graft, or ligation if repair is not possible. 6 The aim of this study is to find out the prevalence of peripheral vascular trauma among vascular surgery

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confidence: 99%

Peripheral Vascular Trauma among Vascular Surgery Cases Operated in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

et al. 2022

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Introduction: Peripheral vascular trauma can result in limb or life-threatening injuries. Early surgical intervention leads to a better outcome. Diagnosis is made clinically, by non-invasive and invasive imaging modalities. Our aim in this study is to find out the prevalence of peripheral vascular trauma among vascular surgery cases operated in a tertiary care centre of Nepal. Methods: This is a descriptive cross-sectional study of peripheral vascular injuries that underwent operative management in a tertiary care hospital of Nepal from January 2018 to May 2020. Ethical approval was taken from the Institutional Review Committee of Kathmandu University School of Medical Sciences (Registration Number 79/20). Convenience sampling technique was used. Data for the study was retrieved from operation records of the patients along with their treatment summaries and entered and analyzed in the Statistical Package for Social Sciences version 20.0. All cases with complete records were included. Conservatively managed cases and cases that underwent primary amputation were not included in the study. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among 624 vascular surgery patients, 40 (6.41%) (4.48-8.33 at 95% Confidence Interval) patients had presented with peripheral vascular trauma during the study period. There were 26 (65%) cases where the upper limb was involved. Conclusions: The prevalence of vascular surgery for peripheral vascular trauma among vascular surgeries operated in our study was similar to other studies done in similar settings. Vascular injury needs urgent intervention and appropriate management will result in a high chance of limb salvage and survival.

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Civilian vascular trauma, treatment and outcome at a level 1-trauma centre

Geisner

Gubberud

Guðbjartsson

2022

Scand J Trauma Resusc Emerg Med

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Background Outcomes after vascular injuries in wartime are well documented, but studies on vascular injuries in a civilian European populations are scarce. Methods A retrospective study on all adults admitted to a North-European level 1-trauma centre 2009–2018 with The Abbreviated Injury Scale-codes for non-iatrogenic vascular trauma (VT). Data were extracted from both national and regional trauma-registries, as well as patient charts. Patient demographics, mechanism, and location of vascular injury were registered as well as its treatment. Incidence and injury scores (ISS, NISS and TRISS) were calculated and overall survival (Kaplan–Meier) estimated. Results Of 4042 trauma-patients, 68 (1.7%) (median age 44 years, 76% males) sustained 81 vascular injuries (69 arterial; 12 venous); 46 blunt and 22 (32%) penetrating injuries. The total incidence of vascular injuries was 1.45/100,000 inhabitants and did not change over the study-period (95% confidence interval 1.13–1.82). The injuries were located in thorax (n = 17), neck (n = 16) and abdominal region (n = 15); most of the blunt injuries followed traffic (n = 31) or falling accidents (n = 10), and with 17 of the 22 penetrating injuries due to stabbing. The median ISS and NISS-scores were 22 and 33, with 50 (74%) and 55 (81%) patients having scores > 15, respectively. Forty-three (63%) patients had open surgical repair and 8 (12%) received endovascular treatment. Twenty-one patients died within 30-days (31%), 33% and 27% after blunt and penetrating injuries, respectively. Half of the patients that died within 24 h sustained aortic injury. Conclusions Traumatic vascular injuries are rare in civilian settings and are less than 2% of major trauma admissions. These patients are often seriously injured and their treatment can be challenging with high 30-day mortality. Trial registration: Retrospectively registered.

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Vascular Trauma

Cited by 6 publications

References 39 publications

Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report

Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report

Peripheral Vascular Trauma among Vascular Surgery Cases Operated in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Civilian vascular trauma, treatment and outcome at a level 1-trauma centre

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